St Clare Hospital
ST CLARE HOSPITAL in Lakewood, WA charges 8.3x the Medicare reimbursement rate on average, based on our analysis of 24 common procedures at this nonprofit-religious facility.
Lakewood, WA 98499 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
F
Very high
Avg markup vs Medicare
8.34x
Charge / Medicare rate
Max markup
10.98x
Worst procedure
Procedures analyzed
24
With pricing data
Outlier procedures
16.7%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $161,126 | $80,563 | — | 11x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $55,340 | $27,670 | — | 10.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $69,252 | $34,626 | — | 10.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $97,653 | $48,826 | — | 9.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $96,746 | $48,373 | — | 9.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $128,721 | $64,360 | — | 9.6x |
| RENAL FAILURE WITH MCC | 682 | $99,889 | $49,944 | — | 9.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $59,687 | $29,844 | — | 9.3x |
| PSYCHOSES | 885 | $86,092 | $43,046 | — | 9.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $80,354 | $40,177 | — | 9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $84,344 | $42,172 | — | 8.9x |
| SYNCOPE AND COLLAPSE | 312 | $50,628 | $25,314 | — | 8.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $67,021 | $33,510 | — | 8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,427 | $26,714 | — | 7.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $107,180 | $53,590 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $114,338 | $57,169 | — | 7.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $165,125 | $82,562 | — | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $68,058 | $34,029 | — | 7.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $48,670 | $24,335 | — | 7.2x |
| DIABETES WITH CC | 638 | $40,747 | $20,374 | — | 7.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $98,388 | $49,194 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $125,695 | $62,848 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $246,365 | $123,182 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $78,468 | $39,234 | — | 5.9x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use